Indicator 8.2.3: "Condom use during higher-risk sex ( with multiple partners)"

Definition

Percentage of women and men aged 15–49 who had more than one partner in the past 12 months reporting the use of a condom during their last sexual intercourse.

Measurement Tools

Population-based surveys (Demographic Health Survey, AIDS Indicator Survey, Multiple Indicator Cluster Survey or other representative survey)

What It Measures

To assess progress towards preventing exposure to HIV through unprotected sex with non-regular partners.

How to Measure It

Respondents are asked whether or not they have ever had sexual intercourse and, if yes, they are asked: 1. In the last 12 months, how many different people have you had sexual intercourse with? If more than one, the respondent is asked: 2. Did you or your partner use a condom the last time you had sexual intercourse? The indicator should be presented as separate percentages for males and females, and should be disaggregated by the age groups 15–19, 20–24 and 25–49 years.

Strengths and Limitations

This indicator shows the extent to which condoms are used by people who are likely to have higher-risk sex (i.e. change partners regularly). However, the broader signifi cance of any given indicator value will depend upon the extent to which people engage in such relationships. Thus, levels and trends should be interpreted carefully using the data obtained on the percentages of people that have had more than one sexual partner within the last year. The maximum protective effect of condoms is achieved when their use is consistent rather than occasional. The current indicator does not provide the level of consistent condom use. However, the alternative method of asking whether condoms were always/sometimes/never used in sexual encounters with nonregular partners in a specifi ed period is subject to recall bias. Furthermore, the trend in condom use during the most recent sex act will generally refl ect the trend in consistent condom use.